MEDIC PHARMACY INC (NPI# 1508972167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508972167 |
| Entity Type | Organization |
| Organization Name | MEDIC PHARMACY INC |
| Other Organization Name | MEDIC PHARMACY INC |
| Practice Address |
5901 W 12th St Little Rock AR 72204-1608 |
| Practice Telephone | 5016643907 |
| Practice Fax Number | 5016644491 |
| Mailing Telephone | 5016643907 |
| Mailing Fax Number | 5016644491 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2011-07-20 |
| Authorized Official Name | MRS. REBECCA C LOUX (PHARMACIST) |
| Authorized Official Telephone | 5016643907 |
| Authorized Official Credential | PD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
AR20027 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | MEDICARE PTAN | 0542540001 | 01 |
| NABP | 0400919 | 01 | |
| AR | 100020407 | 05 |
| Other Name | Type Code |
|---|---|
| Medic Pharmacy Inc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275674392 | Medic Pharmacy Inc | Pharmacy | 9 St. Se #1228 Reparto Metropolitano, San Juan, PR 00921 | 2007-02-09 |
| 1942319629 | Medic Pharmacy Inc | Pharmacy | 5150 N Federal Hwy, Rear, Fort Lauderdale, FL 33308-3814 | 2006-08-29 |
| 1558461913 | Medic Pharmacy Inc | Pharmacy | 5150 N Federal Hwy, Ft Lauderdale, FL 33308-3814 | 2006-09-25 |
| Street Address |
5901 W 12TH ST |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72204-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
| 1265954820 | Marilyn Marie Lynch | Registered Nurse | 7723 Colonel Glenn Road, Little Rock, AR 72204 | 2017-07-14 |
| 1962852954 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1122 S. University Ave, Little Rock, AR 72204 | 2016-06-21 |
| 1841607751 | Charity Gillespie | Registered Nurse | 5210 Timberland Dr, Little Rock, AR 72204 | 2014-07-14 |
| 1043625221 | Interventional Surgery Institute of Little Rock, LLC | Clinic/Center | 9 Freeway Drive, Suite A, Little Rock, AR 72204 | 2014-06-25 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| 1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
| 1336492321 | Alton Charles Phillips Sr. | Counselor | 4400shuffield Drive, Little Rock, AR 72204 | 2012-10-16 |
| Find all providers in zip 72204 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457978157 | Sc Pharmacy Group Opco LLC | Pharmacy | 1800 Riverfront Dr Ste 100, Little Rock, AR 72202-1882 | 2020-06-29 |
| 1972023240 | Medicine Man Pharmacy - Little Rock, Inc | Pharmacy | 400 N Bowman Rd Ste 31, Little Rock, AR 72211-2733 | 2017-06-27 |
| 1285167502 | Nw Otter Creek LLC | Pharmacy | 10100 Stagecoach Rd, Little Rock, AR 72210-5742 | 2017-04-04 |
| 1619374360 | Cjn Pharmacy Services LLC | Pharmacy | 400 N Bowman Rd Ste 19, Little Rock, AR 72211-2733 | 2014-11-24 |
| 1063834380 | Pharmacy of Otter Creek | Pharmacy | 10506 Stagecoach Rd Ste F, Little Rock, AR 72210-8939 | 2014-01-07 |
| 1366706244 | Allcare Specialty Pharmacy LLC | Pharmacy | 10620 Colonel Glenn Rd Ste 300, Little Rock, AR 72204-8048 | 2012-06-26 |
| 1548575814 | Arkansas Cvs Pharmacy LLC | Pharmacy | 420 S University Ave, Little Rock, AR 72205-5246 | 2010-08-11 |
| 1760629984 | Stagecoach Pharmacy LLC | Pharmacy | 1 Stagecoach Vlg, Ste 2, Little Rock, AR 72210-4750 | 2009-01-09 |
| 1174671176 | Supermarket Investors Inc | Pharmacy | 1701 Main St, Little Rock, AR 72206-1471 | 2007-01-08 |
| 1700934700 | Supermarket Investors Inc | Pharmacy | 2510 Cantrell Rd, Little Rock, AR 72202-2116 | 2007-01-08 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72204 |
Please comment or provide details below to improve the information on MEDIC PHARMACY INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.